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Individual

JAMIE DAWN KLINGINSMITH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
5270 N 59TH AVE STE 9, GLENDALE, AZ 85301-6763
(623) 235-1446
Mailing address
6914 W COLTER ST, GLENDALE, AZ 85303-5819
(623) 235-1446

Taxonomy

Speciality
Code
Description
License number
State
221700000X
Art Therapist
61-1885971
AZ
225600000X
Dance Therapist
Primary
61-1885971
AZ
373H00000X
Day Training/Habilitation Specialist
61-1885971
AZ

Other

Enumeration date
08/23/2018
Last updated
08/23/2018
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